PALMELLE
The Palmelle read
Conflicted. The Terraces at Skyline presents a baffling riddle where excellent clinical outcomes on paper clash violently with a skeleton crew of hands-on staff. On the bright side, they hold a strong four-star quality rating, which means they actually have the medical protocols to keep people stable once they get the attention they need. Plus, they boast zero federal fines on record, though we can't tell if that flawless slate is from last month or five years ago. But that skeleton crew leaves a mark, starting with the HIGH_PRESSURE_ULCERS flag, which reveals a shocking fifteen percent bedsore rate. a clear sign there simply aren't enough hands to help residents turn and reposition in bed every two hours. Then there is the HIGH_WEIGHT_LOSS flag, showing nearly a quarter of residents are dropping weight because nobody is available to sit and help them finish their dinner when evening staffing thins out. Finally, the HIGH_CATHETER flag fires because too many residents are left with indwelling catheters, which is often what happens when a rushed staff uses them as a labor-saving shortcut instead of helping people walk to the bathroom. When you tour, skip the lobby flowers and ask the director exactly how many aides are on duty at 7 PM to make sure dinner actually gets eaten and people get moved.
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In their own words
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Services
What they offer.
Levels of care
Amenities
What the data shows
The safety record, by the numbers.
Going right
5-star health inspection
Top federal score on the most recent inspection.
RN hours per resident, daily
Annual nurse turnover
No federal fines
Zero fines on record in the last 36 months.
Worth asking about
Antipsychotic, long-stay
Ask what behaviors the medication targets and what non-medication options were tried first.